Quality Assurance Data Entry
Resume:
Nurudeen Titilope
Houston, Texas, *****
********@*****.***
Professional Summary
Experienced HEDIS Services Specialist with over 5 years in contract roles supporting healthcare data abstraction, quality assurance, and regulatory compliance. Skilled in the review and abstraction of medical records, proficient in a range of HEDIS measures, and committed to maintaining accuracy and efficiency. Strong knowledge of healthcare terminology, medical coding, and regulatory requirements with a proven track record of high-quality data management.
Core Skills
HEDIS Data Abstraction & Reporting
Medical Record Review & Quality Assurance
Healthcare Compliance & Regulatory Standards (HIPAA, NCQA)
Data Entry & Management Tools (e.g., Cotiviti, EMR systems)
Microsoft Office Suite & Healthcare Software
Communication & Provider Coordination
Professional Experience
HEDIS Abstractor Specialist
Kind Health Center - Remote
Contract: May 2024 - December 2024
Conducted data extraction for key HEDIS measures such as COL, TRC, and EED, providing accurate reports for healthcare providers.
Developed data abstraction procedures that enhanced the speed and accuracy of HEDIS data collection for the project team.
Collaborated with providers to obtain additional documentation as needed, maintaining open lines of communication for quality assurance.
Delivered training sessions on HEDIS data entry standards to new team members, supporting a high level of quality and consistency.
HEDIS Compliance Consultant
Dori care Health Care - Remote
Contract: September 2023- March 2024
Focused on extracting and abstracting data for HEDIS measures such as CIS, IMA, and CCS across multiple provider networks.
Conducted data accuracy checks and submitted findings in compliance with HEDIS timelines.
Communicated with the Quality Assurance team to address gaps in data and recommended corrective actions for incomplete records.
Participated in training sessions to stay updated on HEDIS protocols and regulatory update
HEDIS Data Abstractor
Swiftstar Hospital - Remote
Contract: January 2023 – June 2023
Conducted comprehensive HEDIS data abstraction for measures including BPD, CBP, and COA, maintaining 95% accuracy.
Performed meticulous review and verification of patient medical records for accuracy and completeness, adhering to NCQA guidelines.
Coordinated directly with provider offices to obtain missing documentation and resolved discrepancies to ensure quality data reporting.
Utilized proprietary software to upload and validate abstracted data, ensuring timely submissions.
HEDIS Abstractor Specialist
HCA Houston - Remote
Contract: January 2022 – May 2022
Focused on extracting and abstracting data for HEDIS measures such as CIS, IMA, and CCS across multiple provider networks.
Conducted data accuracy checks and submitted findings in compliance with HEDIS timelines.
Communicated with the Quality Assurance team to address gaps in data and recommended corrective actions for incomplete records.
Participated in training sessions to stay updated on HEDIS protocols and regulatory updates.
Healthcare Quality Abstractor
JYC Health care - Remote
Contract: January 2021 – May 2021
Specialized in abstracting and reviewing data for HEDIS measures, particularly WCC, TRC, and PPC measures.
Maintained HIPAA compliance throughout all data handling processes, ensuring the confidentiality of patient information.
Assisted in the audit preparation process by verifying compliance with NCQA guidelines and standard HEDIS protocols.
Managed communication with providers to clarify record documentation and ensure compliance with HEDIS reporting standards.
HEDIS Compliance Consultant
Meridian Hospital - Remote
Contract: February 2020 – June 2020
Conducted data extraction for key HEDIS measures such as COL, TRC, and EED, providing accurate reports for healthcare providers.
Developed data abstraction procedures that enhanced the speed and accuracy of HEDIS data collection for the project team.
Collaborated with providers to obtain additional documentation as needed, maintaining open lines of communication for quality assurance.
Delivered training sessions on HEDIS data entry standards to new team members, supporting a high level of quality and consistency.
HEDIS Quality Assurance Analyst
Homeward Bound - Remote
Contract: January 2019 – May 2019
Completed data abstraction and validation for a range of HEDIS measures, including LSC, HBD, and PPC.
Assisted with special projects focused on improving the efficiency of data abstraction processes.
Facilitated data quality checks, cross-verifying records against source documents to ensure compliance with HEDIS standards.
Regularly liaised with team leaders to report on data abstraction progress, accuracy metrics, and any encountered challenges.
Education
Bachelor’s degree in Economics 2017
St. Cloud State University, Saint Cloud, Minnesota
Technical Proficiency
Medical Coding: ICD-10, CPT
Healthcare Software: Cotiviti, EPIC, SNOW
Microsoft Office: Excel, Word, Teams
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